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31B-085 (10) BP-2023-0503 65 HENSHAW AVE COMMONWEALTH OF MASSACHUSETTS Map31B-085-001 t: CITY OF NORTHAMPTON 31 B-085-001 Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2023-0503 PERMISSION IS HEREBY GRANTED TO: Project# bath reno 2023 Contractor: License: Est. Cost: 43169 Const.Class: Exp.Date: Use Group: Owner: SCOTT JACQUELINE L &RICARDO B METZ Lot Size (sq.ft.) Zoning: URC Applicant: SCOTT JACQUELINE L& RICARDO B METZ Ails! cant Address Phone: Insurance: 65 HENSHAW AVE NORTHAMPTON, MA 01060 ISSUED ON: 04/28/2023 TO PERFORM THE FOLLOWING WORK: 2ND FLOOR BATH RENO POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough:`-~ '`15 - Rough: •a-(‘�-�-� House # Foundation: Final: 8'- Final e-/f-rr.2 Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: Os HH-8-Z3 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fees Paid: $281.00 • 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner - ____ -*2/37 9 4 Z 60 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK _ CITY[-NNorthampton_ __._. _._.__) ;„_ ' MA DATE 4.25.2023 I PERMIT# ph-2023- O l 7 0 JOBSITE ADDRESS 65 Henshaw Ave OWNER'S NAME Jaqueline Scott OWNER ADDRESS same TELL413-248-0011 FAX TYPE OCCUPANCY TYPE COMMERCIAL[.._li EDUCATIONAL _i RESIDENTIAL H PRINT _ r--j CLEARLY NEW: RENOVATION: REPLACEMENT:r ) PLANS SUBMITTED: YES _ NO; 1 FIXTURES-1 FLOOR— BSM 1 2 3 4 ! 5 6 7 8 9 10 11 12 13 14 BATHTUB it ir. CROSS CONNECTION DEVICE ( ji DEDICATED SPECIAL WASTE SYSTEM r If- DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM _ _ _ DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN I! FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) i KITCHEN SINK 1 _. LAVATORY i --I 1 ROOF DRAIN , SHOWER STALL 1 1 ___pi i iiv %- N ,i fs :414. i1V,..yt'LC!UR SERVICE/MOP SINK —NOW" ;Ai 44104 TOILET 1 — URINAL - APF'P OVER NOT APPROVED WASHING MACHINE CONNECTION WATER HEATER ALL TYPES 7,:ry, _, WATER PIPING OTHER ri INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES i NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY +_,i OTHER TYPE OF INDEMNITY L_� BOND j OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER Li AGENT Li SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in c•m diance with II erti ent ovi ion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME rGARY STAHELSKI 'LICENSE#1 9621 _ I \ "l SIGNATURE MPH JP Ij CORPORATION i # 2617C PARTNERSHIP[-_,# 1LLC '#, COMPANY NAME[ EWS PLUMBING&HEATING INC. ADDRESS 339 MAIN STREET l CITY MONSON STATE L_ MA I ZIP 01057 ] TEL 413-267-8983 FAX 413-267-4523 1 CELL I EMAIL EWSPH@COMCAST.NET __. E `c5 l --14 ommonwealth of Massachusetts Official use Only Permit No.: 2023 03SZ- ti`I++='. Department of Fire Services Occupancy and Fee Checkerjf BO OF FIRE PREVENTION REGULATIONS �rn [R[Rev. 1/2023] A - ' (CATION FOR PERMIT TO PERFORM ELECTRICAL WORK A4work r. .: performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 I,City or Town t '. ortham.ton Date: 4/25/23 To the Inspector-of Vi es:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location-(Sire s i ber): 65 Henshaw Ave Unit No.: Owner or Tenant: Jacquie Scott Email: jacquie@sarchitects-pllc.com Owner's Address: 65 Henshaw Ave,Northampton Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes El No❑Permit No.: Purpose of Building: single family dwelling Utility Authorization No.: -_ Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: 2nd floor bathroom remodle,new wiring,(3)new Circuits,relocate existing wiring,new lighting,floor heat Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool:In-Grnd.❑ Above-Gmd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $3,874.00 (When required by municipal policy) Date Work to Start: 5/1/23 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: &I l G hoi95 Soy Ia' d bar 111611 G ac+egr"sr(j A-1 ❑or C-1 ❑LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: Nicholas M Soriano LIC.No.: 14022 Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 48 Gulf Rd Somers Ct Email: n.highcraft@gmail.com - Telephone No.: 413-306-2916 I certify, under the pains and penalties of perjury,that the information on this application is true and complete. Licensee: Nicholas M Soriano Print Name: Nicholas M Soriano Cell.No.: 413-306-2916 INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE© BOND❑ OTHER❑ Specify: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law.By my signature below,I hereby waive this requirement.I am the:(Check one)Owner❑ Owner's agent❑ Owner/Agent: Tel.No.: Signature: Email.: g- ir, /^N41 Rt^-,